Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.After completing post graduate degree in general surgery, Dr Agrawal joined ......more

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.After completing post graduate degree in general surgery, Dr Agrawal joined Army Hospital, Research and Referral, Delhi Cantt, the apex medical institute of armed forces of India for pursuing super-specialty training in Urology. During training, he had the chance to work with few of the most renowned urologist of India. The training offered the exposure to all sort of a variety of urological cases. After completion of training, he joined Metro group of hospitals as urologist. Dr Agrawal had the opportunity to join Artemis Hospital, Gurgaon in 2011. His personal interest is in laparoscopic and endo-urology.

More about Dr. Shalabh Agrawal

Dr. Shalabh Agrawal is a respected urologist, urological surgeon and andrologist in New Delhi, and with 15 years of experience, he can address your worries efficiently and knowledgably. In 2001, Dr. Shalabh Agrawal completed his MBBS from Maulana Azad Medical College in New Delhi, and then completed his MS in 2006 from the same institute. In 2011, he went on to acquire his DNB degree from Army Hospital Research and Referral, Delhi Cantonment. Being conversant in both English and Hindi, Dr. Shalabh Agrawal is dedicated to treat all his patients with understanding and care. When he was pursuing his super-specialty training in the Army Hospital, the doctor got the opportunity to work alongside many other reputed urologists in India, and naturally learned extensively. He has handled many different types of cases in the past, and right after getting his DNB degree, the doctor joined the Metro Group of Hospitals. Dr. Shalabh Agrawal joined Artemis Hospital in Gurgaon in 2011, and currently he is associated with Arcus Superspeciality Center in Dwarka, New Delhi. The doctor is a member of the Urological Society of India, and is particularly interested in endo-urology and laparoscopy. For any problems related to the male or female urinary system or the male reproductive system, Dr. Shalabh can be consulted for effective remedy. He deals with cystoscopy, hematuria, erectile dysfunction, HIV, hydrocele treatment, incontinence, kidney transplant, lithotripsy, and male sexual problems. The successful urologist?s charges range from Rs. 500 to Rs. 650 at the clinic. You can also book an appointment online, in just a few seconds.

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If you notice blood while urinating, you must consult a urologist to get a clear picture of the health issue. Blood in urine is known as hematuria in medical terms. Such a condition can occur in both men and women. It is a common condition and does not require the patient to panic. Rather immediate tests should be conducted to find out the cause of the blood and treated accordingly. Such conditions are very much treatable with a little care and vigilance following of the doctor’s advice. Here are some of the common causes of hematuria in individuals:

Urine Infections: Urine infections are the common cause of blood in your urine. Most commonly these affect urinary bladder and rarely kidneys also. Prompt identification and treatment can easily revert this problem.

Urinary Stones: Another major cause of hematuria, usually accompanied by pain in the abdomen.

Enlarged Prostate: With an enlarged prostate, there can be blood flow with the urine. Rarely this may be a sign of cancer in the prostate.

Exercise: This might come as a surprise for many of the fitness freaks. While exercises are needed for the body and rightly so; but exercises should be done in a certain limit. Heavy exercises, limitless and vigorous exercises can sometimes cause other health problems in the body. One such problem is the passing of blood in the urine.

Medications: Quite interesting is the fact that long-term consumption of certain medicines might cause hematuria in individuals. Certain medicines like penicillin and aspirin are absorbed by the body to a certain extent. But overdose or the regular dosage might lead to further problems in the human body.

Kidney Injury: A kidney injury is a form of internal injury which can be felt and manifested through signs and symptoms. Such injuries occur mostly to those who are in the field of sports. At times, a heavy punch, a hard training session, or an exhaustive fall might lead to kidney injuries. This, in turn, would cause hematuria.

Tumors of Urinary Tract: Bleeding can occur from tumors arising from kidney, ureter, urinary bladder as well as urethra. These require timely detection and management. Early treatment leads to an excellent long-term outcome.

Thus, these are some of the common reasons for the development of blood in urine. However, it is a condition which can be best analyzed by the medical practitioner. Therefore, on the occasion of blood, you must get it tested and treated immediately.

There are certain changes that are noticed in the body post-pregnancy. One such change that might affect you is an overactive bladder. Usually, depending on the amount of liquid that goes into the body, an individual urinates eight to ten times a day. But post-pregnancy this statistic might increase to around ten to twelve times a day. While urinating helps the body to get rid of excessive body wastes, extreme urinating would also get rid of the necessary minerals and liquid that the body requires for its proper functioning. However, overactive bladders are quite common in women who have delivered and can be treated smoothly. Here are some of the top ways in which you can treat your overactive bladder post your pregnancy:

Losing Weight: A woman gains a lot of weight post pregnancy. This weight needs to be reduced through simple exercises and a proper balanced diet. Reduction of the post pregnancy weight helps in controlling the overactive bladder to a certain extent.

Avoiding Alcohol, Spicy and Acidic Food: Alcohol, spicy and acidic food actually creates havoc in the excretory system. Their compounds are such that these enable the body to get rid of water and necessary elements from the body. In fact, the power of urine itself is reduced, making discharging urine with high water content. This would make you more thirsty resulting in over-urinating at times. Similar conditions arise in the body when you consume coffee which contains caffeine and chocolate. Although, having a little bit of chocolate now and then does not really affect the system to quite an extent.

Exercises: Each exercise is carefully tuned to help a particular part of the body. For reducing the over activeness of your bladder, pelvic exercises are the best that you can carry out even for thirty minutes a day. Exercises would help you to remain active, shed the excess weight as well as manage your urination.

Avoid Smoking: Out of the many health hazards that arise out of smoking, one of them is the extreme urge to urinate often after pregnancy. Thus, to avoid over urination it is advised to refrain from smoking for some time.

Thus, these are some of the easiest ways to control the situation. In case you are embarrassed to go out in the public like this, you can always use incontinence pads. However, if the problem persists even after trying out all the said methods, then it would be in your best interest to take expert advice from the doctors.

Lower Urinary tract obstruction refers to a condition of hindrance to urinary flow from bladder outwards. This can occur in all the age groups and affect either sex. The symptoms can be poor urine flow, intermittent flow, straining to pass urine or empty bladder, sense of incomplete emptying of bladder, difficulty in starting urination. Other problems can be increased urine frequency and difficulty to hold on with or without occasional urine leak in clothes. The cause and treatment vary in different age groups.

Few common reasons behind Lower urinary Tract Obstruction:

Congenital Urethral Stricture and PUV: These defects can be detected either before or after birth and need correction at earliest to avoid long-term complications. It is usually brought to attention by parents who observe abnormal urine flow pattern of their child OR found out during evaluation for repeated urinary tract infections.

Neurogenic Bladder: This is caused due to defects of nerves that are responsible for controlling bladder function. This can be due to diseases of brain, spinal cord or peripheral nerves. These defects can occur by birth or later in life. It is very important to take early consult to avoid long-term complications and progression to renal failure.

Urethral Stricture: This is narrowing in a long tube that starts from bladder to the external urinary opening. It can be idiopathic, post-traumatic, or due to urethral infections. Usually, a person is able to recognise poor urine flow and bring it to the attention of urologist. Treatment for stricture depends on various factors and range from simple endoscopic surgery to open surgeries.

Bladder Neck Obstruction: Bladder neck is a network or a group of muscles that connect the bladder to the urethra. The muscles tighten to hold urine in the bladder, and relax as they release it through the urethra. Urinary tract obstruction occurs when there are abnormalities blocking the bladder neck that restricts its opening during urination.

BPH: This occurs due to enlarged prostate obstruction urine flow out of bladder. Prostate enlargement is mostly age-related and rarely due to prostatic tumors. Urinary stones. This can be usually recognized by sudden obstruction to urine flow in person who was voiding normally. These episodes might be recurrent due to movement of stone in between bladder and urethra.

Bladder Tumors: The are mostly characterized by blood in urine. Sometimes there might be blood clots that obstruct the urine flow. Phimosis: Usually occurring post-puberty, it is referred to as the inability to retract the glans (the sensitive structure at the end of the penis). It is a condition in which the distal foreskin, which was previously retractable, is unable to retract anymore.

Phimosis: Phimosis is another major reason behind urinary tract obstructions.

Bladder cancer can be caused by a variety of factors, which include genetic factors, inheritance, drugs, chemicals, environment related factors and smoking. In fact, smoking tobacco is one of the major causes of bladder cancer around the world. The chemicals present in tobacco can irritate the bladder lining which ultimately leads to bladder cancer. Besides smoking other important environmental factors might be chemotherapy, exposure to chemicals from newspaper, dye, leather, paints industries.

Symptoms of bladder cancer are as follows:

Most often it occurs in people more than 50 years of age. It can present in different ways, but common symptoms being :

The diagnosis requires a proper imaging workup including ultrasound, CT scan and urine examinations. Following the initial imaging, a biopsy is required to confirm the diagnosis and stage the disease. This is done by cystoscopy under anesthesia.

Treatment Options:

Treatments for bladder cancer depend on the stage of cancer. Broadly bladder cancers can be categorised into Non-invasive and Invasive cancers.

For non-invasive cancers: It requires recurrent cystoscopic surveillance and resection. For those with high risk of tumor recurrence or progression, intravesical chemotherapy or immunotherapy might be required.

For invasive cancers the various treatment choices are:

Surgery: For localised tumor which are amenable to resection perhaps surgery is the best possible treatment. This is a major undertaking where in whole of bladder along with accessory organs is removed. The surgeon may offer choices for reconstruction between neobladder (refashioning bladder with patient's gut) or ileal conduit (fashioning a stoma over which bag can be worn to collect urine). Following surgery a regular follow up is required and the prognosis is good.

Chemotherapy: This modality is reserved for patient's where surgery is not possible or they have metastatic disease (disease spread to other body parts).In this method, medications are used to target and destroy cancer cells.

Radiation Therapy: This might be and option for patient's that are not suitable for surgery. Radiation therapy uses gamma rays to destroy cancer cells in the body The key to good prognosis in bladder cancers is early detection timely intervention and good follow up.

Prostatitis is a very common infection of the prostate. However, it is worth to note that prostatitis can also be an inflammation of the prostate without infection. Only 5 to 10 percent of prostatitis is caused by bacterial infection. Prostate cancer does not normally have its chances increased by prostatitis. There are several forms of prostatitis, including acute bacterial prostatitis, chronic bacterial prostatitis and chronic nonbacterial prostatitis (which is also known as chronic pelvic pain syndrome ).

The exact cause for prostatitis is not known, but here are some factors which increase its risk, particularly acute bacterial prostatitis.

Possible causes:

Medical instrumentation: Putting an instrument like a urinary catheter may well cause prostatitis.

Rectal intercourse: This is basically another name for anal sex.

Abnormal urinary tract: The urinary tract comprises of the bladders, kidneys, ureters and urethra. If any one of these organs gets infected, then prostatitis is much more likely.

Bladder infection: A bladder infection may well spread to the prostate.

Symptoms
Prostatitis has a variety of symptoms. Here are the most common symptoms of prostatitis.

Constant need of urination: This is one of the most common symptoms of prostatitis.

Difficulty when urinating: Just like the constant need of urination, difficulty urinating is also a sign that you may have prostatitis.

Pain while urinating: This is because the prostate gland is a part of your urinary tract and if it does not work properly, there will be pain.

Chills and fever: This is a rarer symptom, but may indicate prostatitis if it is coupled with the other symptoms.

Pain in perineal area and genital organs: If you are experiencing pain in genital organs, than it may indicate prostatitis.

Painful ejaculations or relief of perineal pain after ejaculations: If you are having painful ejaculation or the pain arises after ejaculation, then it may be due to prostatitis.

Hematospermia: Pinkish or brownish semen.

If these symptoms are persistent or bothersome, then a proper consultation is required. Evaluation includes physical examination along with few simple tests. This can be followed by proper treatment for cure or relief of symptoms.

Dear user. The patient seems to be having anaemia as a result of kidney failure. He might require transfusions or injections depending so many factors. I think you should discuss the matter with a nephrologist.

Dear user. It is normal for a person to pass urine about 5 to 7 times in a day. Further frequency also depends on your diet and medicines intake. Going to void after 2 hours I don't think to be abnormal unless some other symptoms also.